APPLICATION FOR USE OF THE MEETING ROOMS
Vineland Public Library ~ 1058 E. LANDIS AVE. ~ VINELAND, NJ 08360 ~ (856)794-4244 ~ FAX (856) 691-0382

Organization and Person in Charge:_____________________________________________
Address:______________________________________________________________
Date submitted:_______________Date of intended use:___________
Telephone number:________________________ E-mail address: _________________ _______
Hours to be used (all rooms must be vacant by 7:30 p.m.):______________
Purpose or function of organization:______________________________________
Expected # of people:__________ Type of program/meeting:______________________________

Non-Profit or Business
Doris Tripp Room (capacity 90) $25.00 or $50.00
Community Event Room (capacity 90) $25.00 or $50.00
Computer Lab (capacity 16) $25.00 or $50.00
If refreshments are to be served there is a $50. cleaning deposit required.
Food and beverages may not be brought into the computer lab. (Library does not provide cleanup service or supplies.)

Will refreshments be served? Yes_____ No_____

Room arrangement (Library usually has 90 available chairs and 6 tables measuring 30" x 72" each. Tables are not available in November and December)
Arrangements must be made to accommodate persons with disabilities.

Needs:
Chairs (# of)________ Projection Screen Projection Table
Tables (# of)________ Blackboard Lectern Other

Important: Chair and table arrangements must be indicated on reverse side. (Each table comfortably holds six chairs) Tables are not available in Nov/Dec.

Please note:
Smoking is NOT allowed anywhere in the library. The Library will not accept telephone calls for members of groups using the meeting rooms. Any publicity or information disseminated about the meeting or program in the library must include the
following statement: Use of the Vineland Public Library's Meeting Room does not constitute Library endorsement.

I have reviewed "Meeting Room & Exhibition Policy" and will ensure that all stated rules are observed. In addition, I will be present at least one-half hour prior to the start of the function and will also, at the function's conclusion, ensure that all items and areas used are left in clean and orderly condition.

_________________________________________
Signature of person in charge

Return APPLICATION and FEE to Anita Lupcho at least TWO WEEKS before scheduled event to ensure your reservation.

For library use only: Date approved:________ Rejected:________ Fee received $________ Date:________